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CommonPathology of the Pelvis

Oneof the most common pathology of the pelvis is the pelvic inflammatorydisease, which is commonly known by its abbreviation, PID. Thispathologic condition is an inflammatory disorder that affects females(Shepherd,2015).It is associated with the female genital tract, which consists of thereproductive organs and the other pelvic structures found adjacent tothese organs. The condition has a great ability to spread to theabdominal cavity where the perihepatic structures can be affectedleading to Fitz-Hugh-Curtis syndrome.

Acommon symptom of PID is the presence of a persistent dull pain inthe umbilical region or the hypogastric region or acute pain in theright lumbar region. Other symptoms include the presence of a yellowor green-colored vaginal discharge, which is mostly characterized bythe presence of order(Shepherd, 2015).One may also complain of pain during urination, presence of highfever, pain during intercourse and a consistent urge to vomit.

Individualspresenting the symptoms of the condition have to undergo a pelvicsonography. This is usually important for differential purposesthough other imaging techniques such as CT scanning can beincorporated. The sonographic features associated with PID includethickened fallopian tubes, the presence of adnexal masses in severecases, cogwheel sign, and beads on a string sign (Andreotti&amp Harvey, 2012).The most commonly used sonographic techniques are the transvaginaland the transabdominal sonography. Transabdominal ultrasound uses theballooned bladder as a route to imaging the pelvic structures(Andreotti&amp Harvey, 2012).Such provides a global view of the pelvic region revealing structuressuch as the ovaries and adnexal structures. The transvaginalsonography, on the other hand, gives a more detailed picture of thepelvic architecture.

Toconclude, medical history is required before the examination. Someinformation such as the use of contraception is known to affect theseverity and incidence of the condition. Also, the medical historycan guide the doctor or medical practitioner to know the specificareas to target during the imaging process.


Andreotti,R. F., &amp Harvey, S. M. (2012). Sonographic Evaluation of AcutePelvic Pain. Journalof Ultrasound in Medicine,31.doi:11 1713-1718

Shepherd,S. M. (2015). Pelvic Inflammatory Disease. Medscape.Retrieved November 21, 2016, fromhttp://emedicine.medscape.com/article/256448-overview